{
"Npi": {
"NPI": "1912346420",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COMPREHENSIVE PAIN CARE OF LONG ISLAND RONIT ADLER, M.D. PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
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"OtherOrgNameTypeCode": null,
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"OtherFirstName": null,
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"OtherCredential": null,
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"FirstLineMailingAddress": "51 JOHN ST",
"SecondLineMailingAddress": "SUITE 4",
"MailingAddressCityName": "BABYLON",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11702-2928",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "631-661-0400",
"MailingAddressFaxNumber": "631-661-0463",
"FirstLinePracticeLocationAddress": "51 JOHN ST",
"SecondLinePracticeLocationAddress": "SUITE 4",
"PracticeLocationAddressCityName": "BABYLON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "11702-2928",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "631-661-0400",
"PracticeLocationAddressFaxNumber": "631-661-0463",
"EnumerationDate": "06/18/2013",
"LastUpdateDate": "06/18/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FULLER",
"AuthorizedOfficialFirstName": "TERESA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "BILLING MANAGER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "631-661-0400",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207LP2900X",
"TaxonomyName": "Pain Medicine (Anesthesiology) Physician",
"LicenseNumber": "174108AN",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}